Facility Evaluation Report

On 10/08/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct a Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff. LPA met with Administrator Esmeralda Coronado

LPA conducted facility tour with Administrator. All pathways, entrances and exits were clear from obstruction.

LPA observed facility common areas which were furnished with sufficient seating. The tour continued to the facility dining room and facility kitchen. At 11:14 AM LPA observed unlocked medication pills without a label, Eye drops and Hydrogen Peroxide in a cabinet in the dining area. The kitchen was observed clean, in good repair with necessary items and appliances. LPA observed 7-day nonperishable and 2-day perishable foods. At 11:18 AM LPA observed the Ice Machine to have Black mold underneath the door lift area and observed the inside of the lid was cracked. LPA toured several resident rooms which were observed to be furnished with required furniture and adequate lighting. Fire extinguishers observed throughout the facility with service date of October 3, 2024. Bathrooms were properly equipped with non-slip mats and grab bars. Residents observed in dining room playing Bingo. Carbon monoxide detector tested and operational in hallways.

Memory care dining area toured. LPA observed delayed egress doors. Facility observed with a signal system. LPA toured an enclosed patio area with sufficient seating and shade for recreational purposes.

Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report. Staff files were reviewed for good health. It was verified that there are at least two staff on duty who are CPR certified. Staff files were reviewed for good health. It was verified that current staff on duty is CPR certified. At 1:05 PM LPA observed 3 residents with dementia diagnosis had medical assessment that were a year old.